Individual provider Active NPI

Cody M Jones, DC

  • Chiropractor
  • O Fallon, IL
National Provider Identifier
1770131195
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2019032184 Issued in MO
Practice address
9 Eagle Ctr Ste 1
O Fallon, IL 62269-1948
Phone
(618) 628-9200
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2019032184 MO Primary

Addresses

Primary practice location

9 Eagle Ctr Ste 1
O Fallon, IL 62269-1948

Mailing address

9 Eagle Ctr Ste 1
O Fallon, IL 62269-1948
Phone (618) 628-9200

Other practice location 1

7721 Clayton Rd
Clayton, MO 63117-1301
Phone (314) 546-6072 ext. 31454

Other practice location 2

9 Eagle Ctr Ste 1
O Fallon, IL 62269-1948
Phone (618) 628-9200

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL davidnaeger@gmail.com Direct
CONNECT URL davidnaeger@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019032184MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic LLC Chiropractor CurrentSince Feb 8, 2022 Accepting new patients

Locations

9 Eagle Ctr
Ste 1
O Fallon, IL 62269
Phone (208) 539-4560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1770131195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EAGLE CTR STE 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691948",
            "telephone_number": "618-628-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAGLE CTR STE 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691948",
            "telephone_number": "618-628-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7721 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631171301",
            "country_code": "US",
            "telephone_number": "314-546-6072 x31454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Eagle Ctr Ste 1",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691948",
            "country_code": "US",
            "telephone_number": "618-628-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CODY",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2019032184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "davidnaeger@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7721 Clayton Rd",
            "city": "Clayton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "davidnaeger@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7721 Clayton Rd",
            "city": "Clayton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.